{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T11:05:16Z","timestamp":1759057516402,"version":"3.40.4"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>This study aimed to describe the epidemiology of headache in children attending a community mixed adult-pediatric emergency department (ED) in Australia with a view to providing scoping data for future headache-related projects for the pediatric ED research networks.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This is a retrospective cohort study by medical record review. Participants were children aged 2 to 16 years who presented to the ED between January 1, 2016, and December 31, 2016, with a major symptom of headache. Exclusion criteria were a history of recent head trauma, a ventriculoperitoneal shunt in situ, or known intracranial conditions associated with headache. Data collected included demographics, clinical features, investigations, diagnosis, disposition, and outcome. The primary outcomes of interest were the proportion of children with a serious ED diagnosis, the distribution of ED diagnoses, investigation ordering patterns, treatments provided, and clinical outcome.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 225 children were studied, with a median age of 9 years (interquartile range, 6\u201313 years). The most common associated symptoms were fever (47%) and vomiting (42%). The most common examination feature was fever (21%). Abnormal neurological findings were very uncommon. Few children underwent advanced neuroimaging (7 patients; 3%), and no intracranial abnormalities were detected. Seven children had a serious diagnosis (7\/225 [3%]; 95% confidence interval, 2%\u20136%). Six of these 7 were viral meningitis, and there was 1 case of bacterial meningitis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>In a community teaching hospital cohort of children with headache, intercurrent viral illness is the most common cause. Serious causes were very uncommon. The rate of bacterial meningitis, tumor, or abscess was &lt;1%. This has implications for the planning of research projects.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002000","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T19:04:46Z","timestamp":1579892686000},"page":"e1270-e1273","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Epidemiology of Headache in Children in a Community Emergency Department"],"prefix":"10.1097","volume":"37","author":[{"given":"Sharon","family":"Klim","sequence":"first","affiliation":[{"name":"Joseph Epstein Centre for Emergency Medicine Research at Western Health, Sunshine Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Maree","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Krieser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2020,2,3]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00006565-199702000-00001","article-title":"Headache etiology in a pediatric emergency department","volume":"13","year":"1997","journal-title":"Pediatr Emerg Care"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1111\/j.1526-4610.2007.01052.x","article-title":"The child with headache in a pediatric emergency department","volume":"48","year":"2008","journal-title":"Headache"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.pedneo.2013.09.008","article-title":"Headache in the pediatric emergency service: a medical center experience","volume":"55","year":"2014","journal-title":"Pediatr Neonatol"},{"key":"bib4-20250504","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1046\/j.1526-4610.2000.00004.x","article-title":"Headaches in a pediatric emergency department: etiology, imaging, and treatment","volume":"40","year":"2000","journal-title":"Headache"},{"key":"bib6-20250504","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1046\/j.1526-4610.2000.00029.x","article-title":"Acute headache in children and adolescents presenting to the emergency department","volume":"40","year":"2000","journal-title":"Headache"},{"journal-title":"Pediatr Emerg Med J","key":"bib7-20250504","article-title":"What is the rate of head CT scan rates in children presenting with headache to a community teaching hospital emergency department in Australia?"},{"key":"bib8-20250504","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1148\/radiol.11101939","article-title":"Rising use of CT in child visits to the emergency department in the United States, 1995\u20132008","volume":"259","year":"2011","journal-title":"Radiology"},{"key":"bib11-20250504","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/S0196-0644(96)70264-0","article-title":"Chart reviews in emergency medicine research: where are the methods?","volume":"27","year":"1996","journal-title":"Ann Emerg Med"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T20:04:37Z","timestamp":1746389077000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002000"}},"subtitle":["A Scoping Study"],"short-title":[],"issued":{"date-parts":[[2020,2,3]]},"references-count":8,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000002000","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"type":"electronic","value":"1535-1815"},{"type":"print","value":"0749-5161"}],"subject":[],"published":{"date-parts":[[2020,2,3]]}}}